SARA MODLIN-TUCKER DO
NPI 1609398429
Family Medicine in Waterville, ME
NPI Status: Active since July 13, 2017
Contact Information
149 NORTH ST
WATERVILLE, ME
ZIP 04901
Phone: (207) 861-5101
Fax: (207) 872-4341
- Individual
- Female
- Family Medicine
- PECOS Enrolled
About SARA MODLIN-TUCKER
This page provides the complete NPI Profile along with additional information for Sara Modlin-tucker, a primary care provider established in Waterville, Maine with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1609398429 assigned on July 2017. The practitioner's primary taxonomy code is 207Q00000X with license number DO3139 (ME). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1609398429
- Provider Name
- SARA MODLIN-TUCKER DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 149 NORTH ST WATERVILLE, ME 04901
- Location Phone
- (207) 861-5101
- Location Fax
- (207) 872-4341
- Mailing Address
- 149 NORTH ST WATERVILLE, ME 04901
- Mailing Phone
- (207) 861-5101
- Mailing Fax
- (207) 872-4341
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-13-2017
- Last Update Date
- 04-07-2021
- Code Navigator
A primary care provider (PCP) like Sara Modlin-tucker sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 15 E Chestnut St
Augusta, ME 04330
(207) 626-1561
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DO3139
- License State
- ME
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | TP17055 (ME) |
Medicare Participation & PECOS Enrollment Status
Sara Modlin-tucker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 23 times for 12 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 57 times for 24 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 18 times for 18 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04901 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.58
- Minimum New Patient Price $53.26
- Maximum New Patient Price $162.77
- Average New Patient Copayment $20.64
- Minimum New Patient Copayment $13.31
- Maximum New Patient Copayment $40.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.6
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $132.79
- Average Established Patient Copayment $23.65
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $33.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 0 | 9 | 3 | 9 | 8 | 4 | 2 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 0 | 9 | 6 | 9 | 16 | 4 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 0 + 9 + 6 + 9 + 1 + 6 + 4 + 4 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1609398429 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1083691869 | ROBIN M WOOD M.D. Individual | Radiology (Diagnostic Radiology) | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1000 |
1356328421 | MID-MAINE RADIOLOGY, P.A Organization | Radiology (Diagnostic Radiology) | 149 NORTH ST WATERVILLE, ME 04901 (207) 873-0729 |
1861468506 | BEVERLY A KIMPEL MD Individual | Emergency Medicine | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1861468522 | TIMOTHY HENDRICKSON DO Individual | Internal Medicine (Nephrology) | 149 NORTH ST MGHA HOSPITALIST PROGRAM WATERVILLE, ME 04901 (207) 626-1018 |
1609845890 | JULIE M HOOGEVEEN PA Individual | Physician Assistant | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1609835875 | ELIZABETH A SNUGGS MD Individual | Emergency Medicine | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1578522488 | DENNIS R MCCANN MD Individual | Emergency Medicine | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1881653780 | WILLIAM MATUZAS MD Individual | Psychiatry & Neurology (Psychiatry) | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-4396 |
1568421410 | STEVEN A NEUMEISTER PA Individual | Physician Assistant | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1083673982 | MICHAEL T LUCK PA Individual | Physician Assistant | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1316906852 | SALLY L CHAPIN MD Individual | Emergency Medicine | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1307 |
1184684037 | SUSAN S MOTLEY PA Individual | Physician Assistant | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1649230053 | PATRICIA D GATHMAN PA Individual | Physician Assistant | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1710948138 | BARBARA P COVEY MD Individual | Emergency Medicine | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1303 |
1346201522 | STEVEN E DIAZ MD Individual | Emergency Medicine | 149 NORTH ST MGHA HOSPITALIST PROGRAM WATERVILLE, ME 04901 (207) 626-1018 |
1710943592 | MAINEGENERAL HEALTH ASSOCIATES Organization | Internal Medicine (Pulmonary Disease) | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1715 |
1750339065 | MAINE MOLECULAR IMAGING LLC Organization | Physiological Laboratory | 149 NORTH ST WATERVILLE, ME 04901 (800) 734-4132 |
1023065125 | MARTHA JEAN PONITZ CRNA Individual | Nurse Anesthetist, Certified Registered | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1270 |
1972540912 | TODD W MILLER M.D. Individual | Hospitalist | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1270 |
1073552253 | MICHAEL J BUSHEY M.D. Individual | Anesthesiology | 149 NORTH ST WATERVILLE, ME 04901 (207) 872-1270 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609398429, enumerated in the NPI registry as an "individual" on July 13, 2017
The provider is located at 149 North St Waterville, Me 04901 and the phone number is (207) 861-5101
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.58 with an average copayment of $20.64 for new patient appointments. Established patients should expect a typical charge of $94.6 and an average copayment of 23.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes and Hospital discharge day management, more than 30 minutes.
This NPI record was last updated on July 13, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.